Serenity Place Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15770 Issued in TX

Legal business name

SERENITY PLACE COUNSELING LLC

Practice address

806 Old Cleburne Rd
Granbury, TX 76048-1422

Phone

(817) 579-9559

Fax

(800) 392-2104

NPI assigned

Apr 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Paula Schirman, LPC

Title

Licensed Professional Counselor

Phone

(817) 219-1726

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1275850349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 OLD CLEBURNE RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481422",
            "telephone_number": "817-579-9559",
            "fax_number": "800-392-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 OLD CLEBURNE RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481422",
            "telephone_number": "817-579-9559",
            "fax_number": "800-392-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PLACE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHIRMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "817-219-1726",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1599607-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Granbury, TX
• Providers in Granbury, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.